Wagoner Medical Center, Llc | |
605 East 7th Street Burlington IN 46915-0038 | |
(765) 566-3351 | |
(765) 566-2250 |
Full Name | Wagoner Medical Center, Llc |
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Speciality | Family Medicine |
Location | 605 East 7th Street, Burlington, Indiana |
Authorized Official Name and Position | Michelle Wagoner (ADMINISTRATOR) |
Authorized Official Contact | 7655663351 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Wagoner Medical Center, Llc Po Box 38 Burlington IN 46915-0038 Ph: (765) 566-3351 | Wagoner Medical Center, Llc 605 East 7th Street Burlington IN 46915-0038 Ph: (765) 566-3351 |
NPI Number | 1457421497 |
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Provider Enumeration Date | 11/08/2006 |
Last Update Date | 05/15/2009 |
Identifier | Type | State | Issuer |
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1457421497 | NPI | - | NPPES |
200062260 | Medicaid | IN |
Family Health Clinic Of Burlington Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 425 E 5th Street, Suite B, Burlington, IN 46915 Phone: 765-564-3016 Fax: 765-564-2608 |